JASON TAYLOR BRALEY (NPI# 1043471519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043471519 |
| Entity Type | Individual |
| Full Name | JASON TAYLOR BRALEY |
| Credential | PA |
| Practice Address |
180 Park Club Lane Suite 100 Williamsville NY 14221 |
| Mailing Address |
550 Orchard Park Rd Suite 100 West Seneca NY 14224 |
| Practice Telephone | 7168399402 |
| Practice Fax Number | 7168393570 |
| Mailing Telephone | 7166776000 |
| Mailing Fax Number | 7166776006 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2010-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
180 PARK CLUB LANE SUITE 100 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750428041 | James Krolewski | Physical Therapist | 180 Park Club Lane, Suite 225, Williamsville, NY 14221 | 2007-01-30 |
| 1841698578 | Wny Knee and Orthopedic Surgery PC | Durable Medical Equipment & Medical Supplies | 180 Park Club Lane, Suite 225, Williamsville, NY 14221 | 2014-12-11 |
| 1538467246 | Allison K Morganti | Physician Assistant | 180 Park Club Lane, Suite 225, Williamsville, NY 14221 | 2011-03-03 |
| 1518086206 | Susan D Wegrzyn | Nurse Practitioner | 180 Park Club Lane, Suite 100, Williamsville, NY 14221 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780127 | Kelli Reinhardt | Physician Assistant | 400 International Dr Ste 2, Williamsville, NY 14221-5771 | 2017-06-15 |
| 1780626879 | Nicole Ann Schmidt | Physician Assistant | 18 Limestone Drive, Suite 5, Williamsville, NY 14221 | 2006-06-12 |
| 1740266139 | Brian Patrick Laplante | Physician Assistant | 192 Park Club Lane Suite 100, Williamsville, NY 14221 | 2005-12-19 |
| 1063073468 | Andrea Parish | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-26 |
| 1134788037 | Collin Krasowski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-13 |
| 1023597200 | Shannon Renee Irish | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2018-08-09 |
| 1528554045 | Marisa Phillips | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2018-07-09 |
| 1306297874 | Mark Edgar Kerner | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2016-06-27 |
| 1144606351 | Samantha K Black | Physician Assistant | 825 Wehrle Dr, Williamsville, NY 14221 | 2015-08-11 |
| 1417343740 | Nolan F Niespodzinski | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2015-04-14 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on JASON TAYLOR BRALEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.